Cloned from: Paramedic Drugs



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ACTIVATED CHARCOAL
ACTION: Adsorbs or binds toxin preventing it from being absorbed during its transit through the gastrointestinal tract. INDICATIONS: • Overdose  Poisonings CONTRAINDICATIONS: • Should not be given to unconscious patients
PRECAUTIONS: • See below ADVERSE REACTIONS:  May induce nausea and vomiting
DOSE
: • 15 to 30 grams (3 to 6 tablespoons)
ROUTE
: • Oral or via Nasogastric Tube
HOW SUPPLIED
: • Bottle containing 25 grams.
ADENOCARD: (Adenosine)
ACTIONS: An endogenous nucleotide from human body cells, it slows conduction time through the AV-node restoring patients to a normal sinus rhythm. INDICATIONS:
• Paroxysmal supraventricular tachycardia • Narrow complex tachycardia
CONTRAINDICATIONS: • 2nd or 3rd degree AV block • Known sick sinus syndrome unless an artificial pacemaker is in place • Known hypersensitivity to adenosine PRECAUTIONS: • Wide Complex Tachycardia • Atrial Fibrillation and Atrial Flutter with a rapid ventricular response • Patients with ASTHMA, or COPD • Patients known or suspected of taking Theodur, Persantine or any product containing Dipyradamole
ADVERSE REACTIONS: • Transient high grade AV block, chest pain, palpitations, and shortness of breath.
DOSAGE: • 6mg given rapidly (1-2 seconds) IV push, followed by a 20cc flush. If the first dose fails to convert the rhythm within 2 minutes, a second dose of 12mg rapid IV push, followed by a 20 cc flush, may be administered. The half-life of adenocard is 10 seconds. After drug administration flush the IV for 30 seconds. ROUTE:
• IV. Should not be administered through veins distal to antecubital vein
HOW SUPPLIED: • 6 mg in a 2 ml pre-filled syringe. 12 mg in a 4 ml pre-filled syringe. • 6 mg in a 2 ml vial
ASPIRIN
ACTIONS: Aspirin blocks pain impulses in the CNS, dialates peripheral vessels, and inhibits platelet aggregation.
INDICATIONS: • Prevention of platelet aggreagation in ischemia and thromboembolism • Unstable angina • Prevention of myocardial infarction or reinfarction CONTRAINDICATIONS: • Hypersensitivity to salicylates • GI bleeding • Active ulcer disease • Hemorrhagic stroke • Bleeding disorders
PRECAUTIONS: • None
ADVERSE REACTIONS: • Stomach irritation • Indigestion • Nausea or vomiting • Allergic reaction DOSAGE: • 162 mg ROUTE: • Chewed and swallowed
HOW SUPPLIED: • 81 mg chewable tablets
ATROPINE: (Atropine Sulfate)
ACTIONS:
Parasympathetic blocker, reducing vagal tone. Atropine is a Parasympatholytic (Anticholinergic) that acts to block acetylcholine receptors, thus inhibiting parasympathetic stimulation. INDICATIONS: • Hemodynamically symptomatic bradycardias • Heart blocks • Asystole • Organic phosphate poisoning CONTRAINDICATIONS: • Tachycardias • Second Degree Type II and Third Degree heart blocks
PRECAUTIONS: • If given in too small a dose, or if given too slowly, bradycardia may worsen.
ADVERSE REACTIONS: • Dryness of the mouth and nose, blurred vision, dilated pupils, tachycardia, headache and restlessness
DOSAGE : ADULT: • Brady-Dysrhythmias: 0.5mg every 5 minutes to 0.03 - 0.04mgs/kg • Asystole: 1mg IV push to be repeated every three minutes to a maximum of 0.03 - 0.04 mgs / kg • Organic Phosphate Poisoning: 0.5-1 mg boluses, titrating until signs / symptoms resolve PEDIATRIC: • Brady and Asystole: 0.01 - 0.03 mg / kg. ROUTE: • IV, IM, or ET
HOW SUPPLIED: • 1 mg in a 10 ml pre-filled syringe • 0.5 mg in a 5 ml pre-filled syringe
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